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NPI 1053123422

NPI 1053123422 : CRIST & PIESCHL REHABILITATION, P.A. : WASHINGTON, KS

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General NPI Number Information
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    NPI Number           |    1053123422
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    Entity Type          |    Organization 
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    Legal Business Name  |    CRIST & PIESCHL REHABILITATION, P.A. 
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Dates
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    Enumeration Date     |    01/23/2025
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    Last Update Date     |    04/18/2025
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Provider Practice Location Address
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    Address Line         |    306 C ST 
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    City                 |    WASHINGTON
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    State                |    KS
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    Zip                  |    66968-1909
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    Country              |    US
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    Telephone            |    785-510-6018
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    Fax                  |    855-350-9509
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Provider Business Mailing Address
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    Address Line         |    535B RIDGE RD 
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    City                 |    WATERVILLE
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    State                |    KS
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    Zip                  |    66548-9140
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    Country              |    US
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    Telephone            |    785-562-7148
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    Fax                  |    
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Authorized Official
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    Title or Position    |    VP/ PT
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    Name                 |     DEBRA R BAKER 
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    Credential           |    DPT
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    Telephone            |    785-562-7148
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    261QP2000X
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    Taxonomy Name        |    Physical Therapy Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    
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    License Number State |    
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